Bulbar and Limb Myorhythmia with 'Smooch Sign': A Distinctive Movement Disorder in an Adult Patient with Reversible Anti-NMDA Receptor Encephalitis Associated with an Ovarian Teratoma

Autor: Eli S. Neiman, Sumaiya Salim, Michael Seyffert, Sudhansu Chokroverty, Lazer E. Leifer, Spozhmy Panezai, Michael L. Rosenberg
Rok vydání: 2015
Předmět:
Zdroj: The Neurodiagnostic journal. 55(3)
ISSN: 2164-6821
Popis: Anti-N-Methyl-D-Aspartate receptor encephalitis is a recently described entity (Dalmau et al. 2007, 2008) that may present with a variety of complex movements in addition to other features (Kleinig et al. 2008). The purpose of our presentation of such a patient is twofold: (1) to characterize these complex oculo-oro-linguo-masticatory and limb movements with "smooch sign" as myorhythmia, based on a combined clinical and electrophysiological analysis (Masucci et al. 1984); and (2) to document possibly characteristic EEG evolution in the course of observation in our institution for three weeks from diffuse slowing to evolving rhythmic delta activity, which may represent a pattern of electrographic seizure activity.
Databáze: OpenAIRE